Provider Demographics
NPI:1730858887
Name:HOZELLA, JAMIE A (PA-C)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:A
Last Name:HOZELLA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:A
Other - Last Name:WALZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2566 HAYMAKER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3555
Mailing Address - Country:US
Mailing Address - Phone:412-359-3457
Mailing Address - Fax:412-359-6699
Practice Address - Street 1:2566 HAYMAKER RD STE 201
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3555
Practice Address - Country:US
Practice Address - Phone:412-359-3457
Practice Address - Fax:412-359-6699
Is Sole Proprietor?:No
Enumeration Date:2021-09-11
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA0629012080P0202X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology